DR. ASHLEY M PONDEXTER


Address: 820 E 64th St, Indianapolis, IN 46220
Phone: 3175317237

DR. ASHLEY M PONDEXTER (NPI# 1861972879) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861972879
Entity Type Individual
Full Name DR. ASHLEY M PONDEXTER
Credential MD
Practice Address 820 E 64th St
Indianapolis
IN 46220
Mailing Address 3827 E 147th St
Cleveland
OH 44128-1026
Practice Telephone 3175317237
Mailing Telephone 2164684094
Enumeration Date 2018-08-19
Last Update Date 2018-08-21
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
IN Behavioral Health & Social Service Providers

Office Location

Street Address 820 E 64TH ST
City INDIANAPOLIS
State IN
Zip Code 46220

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City INDIANAPOLIS
Zip Code 46220

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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